Organization Active NPI

East Memphis Urgent Medical Clinic PC

Doing business as East Memphis Urgent Medcial Clinic

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1326670555
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAST MEMPHIS URGENT MEDICAL CLINIC PC
Doing business as
East Memphis Urgent Medcial Clinic
Practice address
6515 Poplar Ave Ste 106
Memphis, TN 38119-4878
Phone
(901) 792-0700
NPI assigned
Feb 5, 2020
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dale W Norris, MD
Title
Owner
Phone
(901) 762-0700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

6515 Poplar Ave Ste 106
Memphis, TN 38119-4878

Mailing address

6515 Poplar Ave Ste 106
Memphis, TN 38119-4878
Phone (901) 762-0700

Other names 1

  • East Memphis Urgent Medcial Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1326670555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 POPLAR AVE STE 106",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194878",
            "telephone_number": "901-762-0700",
            "fax_number": "901-779-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 POPLAR AVE STE 106",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194878",
            "telephone_number": "901-792-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEMPHIS URGENT MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-762-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Memphis Urgent Medcial Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Memphis Urgent Medcial Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.